Francis Jason Dizon Medina, P.T.
Individual provider Active NPI Physical Therapist · Colby, WI
NPI 1407973290 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407973290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10722024 (WI)
- Practice address
- 702 W Dolf St
Colby, WI 54421-9604 - Phone
- (715) 223-2352
- NPI assigned
- Mar 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Department of State Hospitals
Practice addresses (Care Compare)
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (916) 651-8811
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720002362 | CA | Practitioner - Physical Therapist in Private Practice | 5890176952 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10722024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current |
Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current |
Accepting new patients |
Locations
2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10722024 | WI | Yes |
Addresses
Primary practice location
702 W Dolf St
Colby, WI 54421-9604
Mailing address
311 W Kalsched St
Apt 115
Marshfield, WI 54449-1466
Phone (310) 526-1704
Other providers in Colby, WI
- Hector Rey A Manzon
- Marshfield Clinic, Inc.
- Kimberly Maxwell
- MCHS Hospitals Inc
- MCHS Hospitals Inc
- Memorial Hospital Inc
- Kelly Catherine Meyer
- Lucas Michalik
- Mary J. Michalski
- Jocelyn Michel
All providers in Colby, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.